NPIMap

Organization Active NPI

Village Dental LLC

  • Dentist
  • Groveland, MA
National Provider Identifier
1487929949
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14303 Issued in MA
Legal business name
VILLAGE DENTAL LLC
Practice address
156 Main St
Groveland, MA 01834-1311
Phone
(978) 521-2922
Fax
(978) 521-2922
NPI assigned
Mar 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David William Archibald, DMD, SCD
Title
Owner
Phone
(978) 521-2922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 14303 MA Primary

Addresses

Primary practice location

156 Main St
Groveland, MA 01834-1311

Mailing address

156 Main St
Groveland, MA 01834-1311
Phone (978) 521-2922

National Provider Directory

National Provider Directory

Locations

156 Main St
Groveland, MA 01834
Phone (978) 521-2922

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1487929949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 MAIN ST",
            "city": "GROVELAND",
            "state": "MA",
            "postal_code": "018341311",
            "telephone_number": "978-521-2922",
            "fax_number": "978-521-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 MAIN ST",
            "city": "GROVELAND",
            "state": "MA",
            "postal_code": "018341311",
            "telephone_number": "978-521-2922",
            "fax_number": "978-521-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "ARCHIBALD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-521-2922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, SCD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MA",
            "license": "14303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveland, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.